SARA ELIZABETH POULSEN RDN, LD
NPI 1346767746
Dietitian, Registered in Pocatello, ID

Active since August 25, 2017Accepts Medicare Assignment
83.32/100
CMS Quality Rating
147 STANFORD AVE, POCATELLO, ID 83201(208) 424-0179 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sara Elizabeth Poulsen Rdn, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA ELIZABETH POULSEN RDN, LD (NPI 1346767746) is an individual dietitian, registered in Pocatello, Idaho, licensed in Idaho (D-897) and active in the NPI registry since August 2017. She maintains a secondary practice location in Pocatello and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346767746
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSARA ELIZABETH POULSENCredential: RDN, LD
Location Address147 STANFORD AVEPocatello, ID 83201-3425
Mailing Address147 Stanford AvePocatello, ID 83201-3425 · (208) 424-0179
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 25, 2017
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1346767746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in ID · D-897
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

147 STANFORD AVE, Pocatello, ID 83201

Secondary Practice Location 1

Location 1353 N 4th Ave Ste 102Pocatello, ID 83201-6391 · Phone (208) 649-4171

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Elizabeth Poulsen Rdn, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082040191
PECOS Enrollment IDI20231103002908

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
147 STANFORD AVE
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Poulsen's NPI number?

The NPI number for Sara Poulsen is 1346767746. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Where is Sara Poulsen located?

Sara Poulsen practices at 147 Stanford Ave, Pocatello, ID 83201. The listed phone number is (208) 424-0179.

What is Sara Poulsen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sara Poulsen enrolled in Medicare?

Yes. Sara Poulsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sara Poulsen accept?

Health plans from Select Health list Sara Poulsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Poulsen was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.